Effects of Vitamin D and Fish Oil on the Kidney in Hypertensives

NCT ID: NCT02757872

Last Updated: 2024-05-31

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

2232 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-04-30

Study Completion Date

2022-03-31

Brief Summary

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The VITamin D and OmegA-3 TriaL (VITAL; NCT01169259) is an ongoing randomized clinical trial in 25,875 US men and women investigating whether taking dietary supplements of vitamin D3 (2000 IU) or omega-3 fatty acids (Omacor (R) fish oil, 1 gram) reduces the risk of developing cancer, heart disease, and stroke in people who do not have a prior history of these illnesses. The VITAL Kidney Function in Hypertension ancillary study will evaluate the effects of vitamin D or omega-3 fatty acids on kidney function among participants with baseline hypertension.

Detailed Description

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This ancillary study to the VITamin D and OmegA-3 TriaL (VITAL) will test whether vitamin D3, omega-3 fatty acids, or both prevent the development and progression of kidney disease in participants with hypertension. Persons with hypertension are at high risk of kidney disease.

Vitamin D and omega-3 fatty acids are promising interventions for kidney disease prevention and treatment, based on results of animal-experimental models and early human studies. Because these interventions are relatively safe, inexpensive, and widely available, they may offer opportunity to substantially reduce the burden of kidney disease in large populations. This VITAL ancillary study will test whether vitamin D3 and/or omega-3 fatty acids prevent loss of glomerular filtration rate, over 4 years of therapy.

In VITAL, 25,875 participants have been randomly assigned in a 2x2 factorial design to vitamin D3 (cholecalciferol) 2000 IU daily versus placebo, and to eicosapentaenoic acid 465 mg plus docosahexaenoic acid 375 mg daily versus placebo, and followed for a mean of 5 years to assess effects on cardiovascular disease and cancer events. This ancillary study will identify and recruit a sub-cohort of VITAL participants with hypertension at baseline and ascertain effects of study interventions on glomerular filtration rate in this group. Blood samples will be collected at year 4 simultaneously for measurement of estimated glomerular filtration rate (using serum creatinine and cystatin C) and other relevant biomarkers. This VITAL ancillary study is designed to determine whether vitamin D3 and/or omega-3 fatty acids have causal and clinically relevant effects on the development and progression of kidney disease in hypertensives.

Conditions

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Hypertension Kidney Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Parent (VITAL; NCT01169259) study was based upon a 2x2 factorial design
Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Vitamin D and Omega-3 Fatty acids

Dietary Supplement: Vitamin D Vitamin D3 (cholecalciferol), one 2000 IU capsule per day.

Drug: Omega-3 fatty acids (fish oil) Omacor, 1 capsule per day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid \[EPA\] and 375 mg of docosahexaenoic acid \[DHA\]).

Group Type ACTIVE_COMPARATOR

Vitamin D3

Intervention Type DIETARY_SUPPLEMENT

Vitamin D3 (cholecalciferol), 2000 IU per day

Omega-3 Fatty acids

Intervention Type DRUG

Omacor, 1 capsule per day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid \[EPA\] and 375 mg of docosahexaenoic acid \[DHA\])

Vitamin D and Omega-3 Fatty acid Placebo

Dietary Supplement: Vitamin D Vitamin D3 (cholecalciferol), one 2000 IU capsule per day.

Dietary Supplement: Omega-3 fatty acid placebo (Fish oil placebo)

Group Type ACTIVE_COMPARATOR

Vitamin D3

Intervention Type DIETARY_SUPPLEMENT

Vitamin D3 (cholecalciferol), 2000 IU per day

Fish oil placebo

Intervention Type DIETARY_SUPPLEMENT

Fish oil placebo

Vitamin D Placebo and Omega-3 Fatty acids

Drug: Omega-3 fatty acids (fish oil) Omacor, 1 capsule per day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid \[EPA\] and 375 mg of docosahexaenoic acid \[DHA\]).

Dietary Supplement: Vitamin D placebo. One capsule per day Vitamin D3 placebo

Group Type ACTIVE_COMPARATOR

Omega-3 Fatty acids

Intervention Type DRUG

Omacor, 1 capsule per day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid \[EPA\] and 375 mg of docosahexaenoic acid \[DHA\])

Vitamin D3 placebo

Intervention Type DIETARY_SUPPLEMENT

Vitamin D3 placebo

Vitamin D Placebo and Omega-3 Fatty acid Placebo

Dietary Supplement: Vitamin D placebo. One capsule per day Vitamin D3 placebo

Dietary Supplement: Omega-3 Fatty acid Placebo (Fish oil placebo). One capsule per day

Group Type PLACEBO_COMPARATOR

Vitamin D3 placebo

Intervention Type DIETARY_SUPPLEMENT

Vitamin D3 placebo

Fish oil placebo

Intervention Type DIETARY_SUPPLEMENT

Fish oil placebo

Interventions

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Vitamin D3

Vitamin D3 (cholecalciferol), 2000 IU per day

Intervention Type DIETARY_SUPPLEMENT

Omega-3 Fatty acids

Omacor, 1 capsule per day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid \[EPA\] and 375 mg of docosahexaenoic acid \[DHA\])

Intervention Type DRUG

Vitamin D3 placebo

Vitamin D3 placebo

Intervention Type DIETARY_SUPPLEMENT

Fish oil placebo

Fish oil placebo

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Fish oil

Eligibility Criteria

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Inclusion Criteria

* Participants in VITAL (NCT01169259) with a self-reported physician diagnosis of hypertension are eligible to participate in this ancillary study

Exclusion Criteria

* Diagnosis of diabetes mellitus
Minimum Eligible Age

50 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Brigham and Women's Hospital

OTHER

Sponsor Role collaborator

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

NIH

Sponsor Role collaborator

Albert Einstein College of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michal L Melamed, MD, MHS

Role: PRINCIPAL_INVESTIGATOR

Albert Einstein College of Medicine

Locations

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Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Other Identifiers

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R01DK102952

Identifier Type: NIH

Identifier Source: secondary_id

View Link

2014-3778

Identifier Type: -

Identifier Source: org_study_id

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